KATHLEEN PARKS
25-PAGE ORIGINAL i-HUMAN-STYLE CLINICAL
CASE
Chief Concern: Frequent Severe Headaches
,PAGE 1 — PATIENT PROFILE
Name: Kathleen Parks
Age: 26 years
Sex: Female
Height: 5'6" (168 cm)
Weight: 122 lb (55.5 kg)
Reason for Encounter: More frequent severe headaches
Setting: Primary care/urgent outpatient evaluation
Chief Complaint:
“My headaches have been happening more often and they are becoming much
more severe.”
Primary clinical concern:
New or changing headache pattern requiring evaluation for primary headache
disorders and potentially serious secondary causes.
PAGE 2 — OPENING HISTORY
Kathleen Parks is a 26-year-old woman who presents because she has been
experiencing increasingly frequent headaches over the past several weeks.
She reports that she has experienced occasional headaches in the past, but the
recent headaches are different because they occur more frequently and interfere
with her normal activities.
She describes the pain as predominantly throbbing and located over the right side
of her head.
During severe episodes, she prefers to remain in a quiet, dark room.
She reports associated nausea and increased sensitivity to light.
She denies recent head trauma.
, PAGE 3 — HISTORY OF PRESENT
ILLNESS
The patient states that the headaches initially occurred approximately once every
few weeks.
Over the last six weeks, the frequency has increased to several episodes per week.
The headaches generally begin gradually rather than reaching maximum intensity
immediately.
A typical episode lasts several hours if untreated.
The patient reports that ordinary activity such as walking upstairs may make the
pain worse.
She has occasionally taken over-the-counter medication, which provides
incomplete relief.
She reports that the increasing frequency is her primary concern.
PAGE 4 — OLDCARTS
O — Onset
Headaches have become increasingly frequent during the past six weeks.
No single traumatic event preceded the change.
L — Location
Primarily right-sided frontal/temporal region.
D — Duration
25-PAGE ORIGINAL i-HUMAN-STYLE CLINICAL
CASE
Chief Concern: Frequent Severe Headaches
,PAGE 1 — PATIENT PROFILE
Name: Kathleen Parks
Age: 26 years
Sex: Female
Height: 5'6" (168 cm)
Weight: 122 lb (55.5 kg)
Reason for Encounter: More frequent severe headaches
Setting: Primary care/urgent outpatient evaluation
Chief Complaint:
“My headaches have been happening more often and they are becoming much
more severe.”
Primary clinical concern:
New or changing headache pattern requiring evaluation for primary headache
disorders and potentially serious secondary causes.
PAGE 2 — OPENING HISTORY
Kathleen Parks is a 26-year-old woman who presents because she has been
experiencing increasingly frequent headaches over the past several weeks.
She reports that she has experienced occasional headaches in the past, but the
recent headaches are different because they occur more frequently and interfere
with her normal activities.
She describes the pain as predominantly throbbing and located over the right side
of her head.
During severe episodes, she prefers to remain in a quiet, dark room.
She reports associated nausea and increased sensitivity to light.
She denies recent head trauma.
, PAGE 3 — HISTORY OF PRESENT
ILLNESS
The patient states that the headaches initially occurred approximately once every
few weeks.
Over the last six weeks, the frequency has increased to several episodes per week.
The headaches generally begin gradually rather than reaching maximum intensity
immediately.
A typical episode lasts several hours if untreated.
The patient reports that ordinary activity such as walking upstairs may make the
pain worse.
She has occasionally taken over-the-counter medication, which provides
incomplete relief.
She reports that the increasing frequency is her primary concern.
PAGE 4 — OLDCARTS
O — Onset
Headaches have become increasingly frequent during the past six weeks.
No single traumatic event preceded the change.
L — Location
Primarily right-sided frontal/temporal region.
D — Duration
